NPIMap

Individual provider Active NPI

Srilakshmi Pisati, M.D.

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1265494447
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-073706 Issued in OH
Practice address
3502 Boudinot Ave
Cincinnati, OH 45211-5726
Phone
(513) 481-9100
Fax
(513) 389-7052
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-073706 OH Primary

Addresses

Primary practice location

3502 Boudinot Ave
Cincinnati, OH 45211-5726

Mailing address

3502 Boudinot Ave
Cincinnati, OH 45211-5726
Phone (513) 481-9100

Other identifiers 5

IdentifierTypeStateIssuer
010629172027OtherOHCARESOURCE
0403903OtherOHUNITED HEALTHCARE
2043345MedicaidOH
7370605OtherOHCHOICECARE / HUMANA
0094088OtherOHEMERALD HEALTH NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715001057 OH Practitioner - Internal Medicine 2860440443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3502 Boudinot Ave
Cincinnati, OH 45211-5726

Hospital & facility affiliations

  • American Mercy Home Care, LLC Home health agency, Cincinnati, OH, CCN 367167
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-073706OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Tri State Health Systems Past Accepting new patients
Deaconess Healthcare Services Co Internal Medicine Past Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients

Locations

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Interoperability endpoints

  • Direct secure messaging: spisati12539@direct.bsmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265494447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 BOUDINOT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115726",
            "telephone_number": "513-481-9100",
            "fax_number": "513-389-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 BOUDINOT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452115726",
            "telephone_number": "513-481-9100",
            "fax_number": "513-389-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISATI",
        "first_name": "SRILAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-073706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "010629172027",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0403903",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043345",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICECARE / HUMANA",
            "identifier": "7370605",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERALD HEALTH NETWORK",
            "identifier": "0094088",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.